Individual
KAYSE SHAY MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10620 PARK RD STE 202, CHARLOTTE, NC 28210-0106
(704) 667-0920
Mailing address
10620 PARK RD STE 202, CHARLOTTE, NC 28210-0106
(704) 667-0920
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2270015
MA
363L00000X
Nurse Practitioner
209-033176
IL
363LP0200X
Pediatric Nurse Practitioner
102603-875
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
5020342
NC
363LP0200X
Pediatric Nurse Practitioner
RN2270015
MA
363LP2300X
Primary Care Nurse Practitioner
APRN9416624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100322236
—
WI
Enumeration date
03/29/2012
Last updated
12/30/2025
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